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NPI Code Detail

MEDICARE: MARIE E MINANI MPHNP-BC

MEDICARE:   MARIE E MINANI  MPHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner297960NC

General Provider Information

NPI Number : 1710744412
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE E MINANI MPHNP-BC
Provider Business Mailing Address
First Line : 3801 BARRETT DR
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7224
Country : US
Telephone Number : 919-870-8409
Fax Number : 877-622-8953
Provider Business Practice Location Address
First Line : 3801 BARRETT DR
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7224
Country : US
Telephone Number : 919-870-8409
Fax Number : 877-622-8953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2024
Last Update Date : 10/27/2025

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Directions to “ MARIE E MINANI MPHNP-BC” Practice Location

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